Mrs Timika Shenay Bracken, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Jacksonville, Florida. Her current practice location is
580 W 8th St Fl 9, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 383-1022.
Mrs Timika Shenay Bracken is licensed to practice in Florida (license number 11026490) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1326730714.
Physician's Profile
Full Name | Mrs Timika Shenay Bracken |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 580 W 8th St Fl 9, Jacksonville, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1326730714
- Provider Enumeration Date: 05/23/2023
- Last Update Date: 02/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 5395189781
- Enrollment ID: I20240213003691
Medical Identifiers
Medical identifiers for Mrs Timika Shenay Bracken such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326730714 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084N0400X | Psychiatry & Neurology - Neurology | 11026490 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | 11026490 (Florida) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Timika Shenay Bracken allows following entities to bill medicare on her behalf.
Entity Name | University Of Florida Jacksonville Physicians, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20040128000786 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Timika Shenay Bracken is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Timika Shenay Bracken, NP Po Box 44008, Jacksonville, FL 32231-4008 Ph: (904) 383-1022 | Mrs Timika Shenay Bracken, NP 580 W 8th St Fl 9, Jacksonville, FL 32209-6533 Ph: (904) 383-1022 |
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